+1 844 476 6900
Premium Billing
Premium Billing
Our Member Billing module easily automates the process of generating member invoices and posting of related payments, while seamlessly dealing with CMS imposed retroactivity. The Billing Module is fully integrated with our Membership Management system which eliminates manual entry of all CMS-driven membership information, enrollment, termination and more. Our feature-rich user interface makes dealing with customer service queries quick and easy. The high level and quality of automation minimizes the efforts required to manage member premiums and payments.
Why our Premium Billing is preferred by Health Plans
Maintenance of extensive audit trails
Significant time saving from automated retroactivity, payment postings and transfers
Improved information accuracy
Ease of tracking and reconciling LIS & SSA payments
Why our Premium Billing is preferred by Health Plans
Maintenance of extensive audit trails
Significant time saving from automated retroactivity, payment postings and transfers
Improved information accuracy
Ease of tracking and reconciling LIS & SSA payments
Features at a glance
Generate monthly member, SSA and CMS/LIS invoices based on enrollment and CMS bid data
Separate Member (with LIS credits) and CMS (with subsidy amount) invoices
Auto-update invoices daily for all retroactivity related to CMS enrollment, LIS or LEP changes
Post payments including SSA, LIS and member payments from Lockbox, Credit/Debit Card and manual entry
Transfer payments as needed due to retro billing activity or pre-payment
Handle negative payments from CMS & SSA
Enforce documentation for manual adjustments and transfers
Generate Member Refund Checks as needed
Download BrochureWhy choose MIRRA's® Premium Billing?
Our Member Billing module easily automates the process of generating member invoices and posting of related payments, while seamlessly dealing with CMS imposed retroactivity. The Billing Module is fully integrated with our Membership Management system which eliminates manual entry of all CMS-driven membership information, enrollment, termination and more. Our feature-rich user interface makes dealing with customer service queries quick and easy. The high level and quality of automation minimizes the efforts required to manage member premiums and payments.
Reviews & Testimonials
Mirra collaborated well with our operations and compliance teams to successfully design and implement a system that was innovative, efficient, and compliant with all Medicare and Florida Medicaid guidelines and requirements all within the scope of our required timeline.
We greatly benefitted from the Mirra Project Management Team’s regular communication with Stakeholders through monthly meetings and recurring weekly breakout-focused calls, which were geared towards troubleshooting and goal alignment. Mirra was able to quickly maneuver and adapt their systems to our needs, resulting in successful implementation and go-live. Mirra continues to support our compliant operation and growth in the ever-changing healthcare industry rapidly and effectively updating their systems with new Medicare and Florida Medicaid rates and guidelines to ensure seamless compliance and efficiency. I have absolutely no reservation in recommending their systems to any Payer searching for improvement in their operational efficiency."
NANCY GAREAUCEO of Ultimate Health Plans
Book Demo Today
Personalized Demo Tailored to Your Organization's Needs